Active NPI
Jennifer McQuillan, SLP
- Speech-Language Pathologist
- Carlisle, PA
National Provider Identifier
1457304768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005895L
- Practice address
- 1 Longsdorf Way
Carlisle, PA 17015-7623 - Phone
- (717) 240-6025
- Fax
- (717) 240-6042
- NPI assigned
- May 18, 2006
- Last updated
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL005895L | PA | Primary |
Addresses
Primary practice location
1 Longsdorf Way
Carlisle, PA 17015-7623
Mailing address
10 Edgewood Dr
Mechanicsburg, PA 17055-2771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL005895L | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL005895L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1457304768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EDGEWOOD DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170552771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONGSDORF WAY",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170157623",
"telephone_number": "717-240-6025",
"fax_number": "717-240-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLAN",
"first_name": "JENNIFER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005895L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SL005895L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.